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ADENOSINE KINASE DEFICIENCY

ADENOSINE KINASE DEFICIENCY
Hypermethionia due to adenosine kinase deficiency
614300
OMIM = Online Mendelian Inheritance of Men
289290
adenosine kinase
2.7.1.20
10q22.2
E72.1
very rare (6 cases)
autosomal recessive
mutation in the ADK gene
Laboratory findingsMethionine inc (plasma)
S-Adenosylmethionine inc (plasma)
    Adenosine inc (urine)
    Adenosine inc (plasma)
    Bilirubin, conjugated inc (serum)
    Creatine kinase normal/inc (plasma)
    D-Glucose dec (plasma)
    Homocysteine normal/inc (plasma)
    S-Adenosylhomocysteine inc (plasma)
Symptoms    cardiac involvement, cardiac defects
    cholestasis
    developmental delay
    failure to thrive
    frontal bossing
    hearing defect, deafness
    hyperinsulinism
    hypertelorism
    hypoglycemia
    hypotonia
    liver involvement or dysfunction
    macrocephaly (large calvaria, >2 SD for age)
    mental retardation
    muscle weakness
    onset, infancy
    onset, neonatal
    seizures